Provider Demographics
NPI:1528143849
Name:LE, HOP N (MD)
Entity type:Individual
Prefix:
First Name:HOP
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 LAUREL ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1980
Mailing Address - Country:US
Mailing Address - Phone:415-923-1234
Mailing Address - Fax:
Practice Address - Street 1:390 LAUREL ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1980
Practice Address - Country:US
Practice Address - Phone:415-923-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62311208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A623110Medicaid
00A623110Medicare ID - Type Unspecified
CA00A623110Medicaid